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Title: Presenters or Patients? A Crucial Distinction in Individual Health Assessments
Authors: Schaefer G.O. 
Keywords: Asymptomatic screening
Computed tomography
Individual health assessments
Medical ethics
Medical language
Issue Date: 2018
Publisher: Springer Singapore
Citation: Schaefer G.O. (2018). Presenters or Patients? A Crucial Distinction in Individual Health Assessments. Asian Bioethics Review 10 (1) : 67-73. ScholarBank@NUS Repository.
Abstract: Individual health assessments (IHAs) for asymptomatic individuals provide a challenge to traditional distinctions between patient care and non-medical practice. They may involve undue radiation exposure, lead to false positives, and involve high out-of-pocket costs for recipients. A recent paper (Journal of the American College of Radiology 13(12): 1447–1457.e1, 2016) has criticised the use of IHAs and argued that recipients should be classified as ‘presenters’, not ‘patients’, to distinguish it from regular medical care. I critique this classificatory move, on two grounds: one, it is conceptually suspect. Two, it obviates the medical ethics framework for IHAs, potentially exposing recipients of IHAs to lower standards of oversight and protection. Responsible regulation of IHAs will be easier to ethically justify if those seeking IHAs are considered patients and not merely presenters. © 2018, National University of Singapore and Springer Nature Singapore Pte Ltd.
Source Title: Asian Bioethics Review
ISSN: 17938759
DOI: 10.1007/s41649-018-0044-1
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